Dzur, James R

Dzur, James R is an individual health care provider with primary practice located at 217 W Georgia Ave Suite 115, Nampa ID 83686-6811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dzur, James R can be contacted via phone (208) 463-3000.

Contact Information

Primary practice address
217 W Georgia Ave Suite 115 Nampa ID 83686-6811
Fax: (208) 463-3034
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M5982 Idaho

Profile Details

NPI number 1194715177
LBN Legal business name Dzur, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194715177 NPPES
Idaho Other 000010001073 BLUE SHIELD
Idaho Other 59824 BLUE SHIELD

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